AB1230 CHARACTERISTICS OF FRACTURES TREATED IN THE FIRST YEAR OF OPERATION OF THE FLS OF TUDELA. NAVARRA.
Authors: M. S. Moreno Garcia
Journal: Annals of the Rheumatic Diseases (2023)

<h3>Background</h3> Osteoporosis is a common disease with a huge impact on public health due to the great morbidity and mortality and the impact on the quality of life of fractures.The main objective of its approach is to avoid the appearance of osteoporotic fractures, so it is important to devote efforts to diagnose and treat individuals who are most at risk of suffering this type of fractures. In our environment the approach to osteoporotic fracture was deficient, so a specific secondary prevention consultation was launched. <h3>Objectives</h3> To analyze the general characteristics of patients referred to the FLS consultation during their first year of operation at the Reina Sofia Hospital in Tudela. Navarra. <h3>Methods</h3> Retrospective descriptive study including patients referred to the secondary fracture prevention rheumatology (FLS) consultation, from November 2021 to November 2022. Epidemiological characteristics, risk factors, type of fracture, therapeutic acts and adherence to treatment at month, 6 months and 12 months are analyzed. <h3>Results</h3> During the indicated period, 200 patients were referred to FLS consultation from Traumatology, Internal Medicine and Rehabilitation, of which 67% (134) were evaluated during admission for hip fracture, of whom 11 died during admission. 33% of patients were treated on an outpatient basis -with a maximum delay of 6 weeks-, for low-impact fractures of radius (23), proximal humerus (15) and vertebral (28). The mean age of patients with hip fracture was 84.95 years, and that of the rest of osteoporotic fractures treated was 72.95 years, with a ratio of men/ women of 43/157, close to 1/5. The Barthel was also calculated with an average of 90.36. Regarding risk factors: the mean BMI of the patients was 25.56 kg/m2, 23 patients (11.5%) were active smokers, 8 of the women attended (4%) had early menopause, 2 women (1%) were on treatment with aromatase inhibitors, 48 patients (24%) had had a previous fracture and 57.5% of patients had hypovitaminosis D. Only 20 patients (10%) had taken or were being treated for osteoporosis prior to fracture. BMD was requested from 47% of patients. Regarding the treatment prescribed after evaluation in the FLS, 16% was not considered subsidiary to specific pharmacological treatment, but was always given non-pharmacological advice, as well as calcium and vitamin D supplements. Those who were prescribed specific therapy 64% were prescribed antiresorptive and 36% an osteoformer. Regarding adherence to treatment, only 4 patients did not take it within one month of their prescription. The rest followed a correct completion each review call per month, 6 months and one year, although at the time of writing the study there are pending review appointments of 6 and 12 months in patients recruited from the second semester of 2022. <h3>Conclusion</h3> The establishment of standardized units for secondary prevention of fracture is a necessity for the health of the population. In our sample, only 10% of patients treated for osteoporotic fracture had specific therapy before their fracture, but, after assessment in the FLS, the initiation of therapy after osteoporotic fracture was ensured in all subsidiary patients, as well as adequate adherence to treatment. <h3>References</h3> [1]Li N, Hiligsmann M, et al. The impact of fracture liaison services on subsequent fractures and mortality: a systematic literature review and meta-analysis. Osteopores Int. 2021 Aug;32(8):1517-1530. [2]Wu CH, et al. Identifying characteristics of an effective fracture liaison service: systematic literature review. Osteopores Int. 2018 May;29(5):1023-1047. <h3>Acknowledgements:</h3> NIL. <h3>Disclosure of Interests</h3> None Declared.